| NPI | 1225048275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 004744) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 170214) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-10-26 |